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Nerve-Repositioning

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Description
The inferior alveolar nerve, which gives feeling to the lower lip and chin, may need to be moved in order to make room for placement of dental implants to the lower jaw. This procedure is limited to the lower jaw and indicated when teeth are missing in the area of the two back molars and/or and 2nd premolar, with the above-mentioned secondary condition. Since this procedure is considered a very aggressive approach (there is almost always some postoperative numbness of the lower lip and jaw area, which dissipates only very slowly, if ever), usually other options are considered first such as building the ridge up with an onlay bone graft, or expanding the bone through a process called distraction osteogenesis.

Typically, we remove an outer section of the cheek side of the lower jawbone in order to expose the nerve and vessel canal. Then we isolate the nerve and vessel bundle in that area, and slightly pull it out to the side. At the same time we place the implants we’ll be tracking the neuro-vascular bundle. Then the bundle is released and placed back over the implants.

These procedures may be performed separately or together, depending upon the individual's condition. As stated earlier, there are several areas of the body that are suitable for attaining bone grafts. In the maxillofacial region, bone grafts can be taken from inside the mouth, in the area of the chin or third molar region or in the upper jaw behind the last tooth. In more extensive situations, a greater quantity of bone can be attained from the hip or the outer aspect of the tibia at the knee. When we use the patient’s own bone for repairs or addition, we generally get the best results.

These surgeries are performed in our office surgical suite under IV sedation or general anesthesia. After discharge, bed rest is recommended for one day and limited physical activity for one week.

Price: unspecified

Tags: Nerve-Repositioning

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Dentist in Georgia | Atlanta Oral & Maxillofacial Surgery
Date added: 4/19/2010
Expiration date: 3/24/2013
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Offer ID: 299
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Dr. Norman Weinstein
Dr. Norman Weinstein

Dentists Quebec
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